This is no Online- Form !!! Please print the form and fax it to us !!! Thank you - Robin !!!
FamWest UK FAM WEST
Naturzelte GmbH

Order:
FamWest UK

FAM WEST GmbH (Ltd.) local representative in UK ● Mr. Stephen Griffiths & Mrs. Genny Haines
5 Upper Way ● Farnham ● Surrey GU9 8RG ● UK
Tel: 0044 (0)1252 717444 ● Cell: 0044 (0)773 6052328
E-mail: info@famwest.co.ukwww.famwest.co.uk

I / We order the following in acceptance of your terms or delivery and payment:

Delivery address: Please name an alternative delivery address in your neighborhood in case no one is home.
Transportation damage: please notify the deliverer of damage to the delivered merchandise immediately and obtain verification.

Intern. Nr.Art. Nr.Article/Color/Size Number Piece Price Total price
           
           
           
           
           
           
           
Total order price:  
-2% discount with Bank debit/ prepayment:  
Amount of bill:  

Company/Club:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Last name:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . First name:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street Nr:. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer Nr. (if known): . . . . . . . . . . . . . . . . . .
Postal code:. . . . . . . . . . . . . . City: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Land: . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mobile phone:. . . . . . . . . . . . . . . . . . . . . Tel. Nr:. . . . . . . . . . . . . . . . . . . . . . Fax Nr: . . . . . . . . . . . . . . . . . . . . . . . .
E-mail:. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Datum: . . . . . . . . . . . . . . . . Signature: . . . . . . . . . . . . . . . . . . . . . . . . .

  Payment by:   encashment   bank transfer
    COD (the most expensive method)   prepayment / check

Encashment
I / We hereby authorize FamWest Inc. to carry out a single direct debit of the amount due by me/us for the order dating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . from my/our account.
Accountowner Bank
Account Nr. Bank code
IBAN BIC
If my/our account has insufficient funds, the account bank is not liable for payment. Partial payment by debit is not accepted.
City, Date Signature

FAM WEST GmbH
Rannetsreit 3 1/3
94535 Eging am See

Tel.: +49 (0)8544 - 9180878
Fax: +49 (0)8544 - 9180870
famwest@naturzelte.de
Bankverbindung
Bayerische Hypo- und Vereinsbank AG
Konto-Nr.: 42181056
BLZ: 700 202 70
BIC: HYVEDEMM
IBAN: DE55 7002 0270 0042 1810 56
Handelsregister
Nr.HRB 127717
VAT-ID:
DE 177589995
Gläubiger-Id.Nr.:
DE57ZZZ00001273717